Plan sponsors and brokers

Pursuing a whole-person approach to
pharmacy care

As your trusted pharmacy benefits partner, we:

  • Listen closely to understand our members’ challenges.
  • Drive cost savings.
  • Develop solutions to help improve outcomes.
  • Identify drugs that deliver better results and improve overall well-being.

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Our commitments guide all we do

Becoming a collaborative partner

Our vast collective experience and insights enable us to become a collaborative partner with our members. We meet them wherever they are in their health journey.

Delivering results through connected solutions

We innovate through advanced analytics and a comprehensive data ecosystem to provide new care experiences for our members.

Driving integrity in all we do

As our members’ advocates, we must constantly make certain the right therapies are identified, always providing exceptional service, backed by guarantees.

Elevating specialty drug management


Whole health

Evidence-based drug lists, fraud and waste avoidance, and condition management enable us to improve outcomes. CarelonRx steers solutions that deliver tighter specialty drug management, richer insights, and actionable interventions to drive down costs. BioPlus Specialty Pharmacy has joined CarelonRx. BioPlus complements our ability to provide an unparalleled level of service and helps us provide a differentiated, whole-health experience.

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24/7 access to collective knowledge and expertise, with video, text, and chat engagement options. CarelonRx meets members where they are — with the tools and services they need to combat the complexity, confusion, and cost of specialty pharmacy care.

Cost management

Identifying lower network rates and solutions to deliver affordability including Cost Relief, our specialty drug cost-containment initiative. We make sure the right pharmacy treatments are used at the right time, and in a way where members can get the most from these drugs.

The latest from CarelonRx

Learn more about how value-based care models that tie in pharmacy can lead to reduced spending and improved outcomes.

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Learn how CarelonRx has transformed the Prior Authorization process into a benefit for plan members as part of our whole-person approach to care.

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Discover how CarelonRx promotes patient-centered solutions for members with complex conditions, while mitigating specialty drug trend.

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Get the latest news from CarelonRx